As previously communicated in Partners in Health Update, IBC announced
there is no member cost-sharing ($0) for certain preventive services provided
to certain members. These new cost-sharing rules are mandated by the Federal
Health Care Reform act known as the Patient Protection and Affordable Care Act
of 2010. The $0 copayment does not apply to problem-focused (i.e.,
nonpreventive) services. If a member is seen for both preventive and
nonpreventive services during the same visit, cost-sharing may apply.
For questions regarding member benefits, log on to the NaviNet? web portal and
select Member Eligibility and Benefits Inquiry from the Plan Transactions menu.
You can also use the Provider Automated System by calling 1-800-ASK-BLUE.